Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation

Abstract Background Targeting the aquatic stages of malaria vectors via larval source management (LSM) in collaboration with local communities could accelerate progress towards malaria elimination when deployed in addition to existing vector control strategies. However, the precise role that communi...

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Main Authors: Chantal Marie Ingabire, Emmanuel Hakizimana, Alexis Rulisa, Fredrick Kateera, Bart Van Den Borne, Claude Mambo Muvunyi, Leon Mutesa, Michelle Van Vugt, Constantianus J. M. Koenraadt, Willem Takken, Jane Alaii
Format: Article
Language:English
Published: BMC 2017-10-01
Series:Malaria Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12936-017-2046-y
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author Chantal Marie Ingabire
Emmanuel Hakizimana
Alexis Rulisa
Fredrick Kateera
Bart Van Den Borne
Claude Mambo Muvunyi
Leon Mutesa
Michelle Van Vugt
Constantianus J. M. Koenraadt
Willem Takken
Jane Alaii
author_facet Chantal Marie Ingabire
Emmanuel Hakizimana
Alexis Rulisa
Fredrick Kateera
Bart Van Den Borne
Claude Mambo Muvunyi
Leon Mutesa
Michelle Van Vugt
Constantianus J. M. Koenraadt
Willem Takken
Jane Alaii
author_sort Chantal Marie Ingabire
collection DOAJ
description Abstract Background Targeting the aquatic stages of malaria vectors via larval source management (LSM) in collaboration with local communities could accelerate progress towards malaria elimination when deployed in addition to existing vector control strategies. However, the precise role that communities can assume in implementing such an intervention has not been fully investigated. This study investigated community awareness, acceptance and participation in a study that incorporated the socio-economic and entomological impact of LSM using Bacillus thuringiensis var. israelensis (Bti) in eastern Rwanda, and identified challenges and recommendations for future scale-up. Methods The implementation of the community-based LSM intervention took place in Ruhuha, Rwanda, from February to July 2015. The intervention included three arms: control, community-based (CB) and project-supervised (PS). Mixed methods were used to collect baseline and endline socio-economic data in January and October 2015. Results A high perceived safety and effectiveness of Bti was reported at the start of the intervention. Being aware of malaria symptoms and perceiving Bti as safe on other living organisms increased the likelihood of community participation through investment of labour time for Bti application. On the other hand, the likelihood for community participation was lower if respondents: (1) perceived rice farming as very profitable; (2) provided more money to the cooperative as a capital; and, (3) were already involved in rice farming for more than 6 years. After 6 months of implementation, an increase in knowledge and skills regarding Bti application was reported. The community perceived a reduction in mosquito density and nuisance biting on treated arms. Main operational, seasonal and geographical challenges included manual application of Bti, long working hours, and need for transportation for reaching the fields. Recommendations were made for future scale-up, including addressing above-mentioned concerns and government adoption of LSM as part of its vector control strategies. Conclusions Community awareness and support for LSM increased following Bti application. A high effectiveness of Bti in terms of reduction of mosquito abundance and nuisance biting was perceived. The study confirmed the feasibility of community-based LSM interventions and served as evidence for future scale-up of Bti application and adoption into Rwandan malaria vector control strategies.
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spelling doaj.art-673957a89c1a4d20962913e3f4d0e2142022-12-22T03:34:59ZengBMCMalaria Journal1475-28752017-10-0116111310.1186/s12936-017-2046-yCommunity-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participationChantal Marie Ingabire0Emmanuel Hakizimana1Alexis Rulisa2Fredrick Kateera3Bart Van Den Borne4Claude Mambo Muvunyi5Leon Mutesa6Michelle Van Vugt7Constantianus J. M. Koenraadt8Willem Takken9Jane Alaii10Department of Health Promotion, Maastricht UniversityMalaria & Other Parasitic Diseases Division, Rwanda Biomedical CenterMedical Research Center, Rwanda Biomedical CenterMedical Research Center, Rwanda Biomedical CenterDepartment of Health Promotion, Maastricht UniversityCollege of Medicine and Health Sciences, University of RwandaCollege of Medicine and Health Sciences, University of RwandaAcademic Medical CenterLaboratory of Entomology, Wageningen UniversityLaboratory of Entomology, Wageningen UniversityContext Factor SolutionsAbstract Background Targeting the aquatic stages of malaria vectors via larval source management (LSM) in collaboration with local communities could accelerate progress towards malaria elimination when deployed in addition to existing vector control strategies. However, the precise role that communities can assume in implementing such an intervention has not been fully investigated. This study investigated community awareness, acceptance and participation in a study that incorporated the socio-economic and entomological impact of LSM using Bacillus thuringiensis var. israelensis (Bti) in eastern Rwanda, and identified challenges and recommendations for future scale-up. Methods The implementation of the community-based LSM intervention took place in Ruhuha, Rwanda, from February to July 2015. The intervention included three arms: control, community-based (CB) and project-supervised (PS). Mixed methods were used to collect baseline and endline socio-economic data in January and October 2015. Results A high perceived safety and effectiveness of Bti was reported at the start of the intervention. Being aware of malaria symptoms and perceiving Bti as safe on other living organisms increased the likelihood of community participation through investment of labour time for Bti application. On the other hand, the likelihood for community participation was lower if respondents: (1) perceived rice farming as very profitable; (2) provided more money to the cooperative as a capital; and, (3) were already involved in rice farming for more than 6 years. After 6 months of implementation, an increase in knowledge and skills regarding Bti application was reported. The community perceived a reduction in mosquito density and nuisance biting on treated arms. Main operational, seasonal and geographical challenges included manual application of Bti, long working hours, and need for transportation for reaching the fields. Recommendations were made for future scale-up, including addressing above-mentioned concerns and government adoption of LSM as part of its vector control strategies. Conclusions Community awareness and support for LSM increased following Bti application. A high effectiveness of Bti in terms of reduction of mosquito abundance and nuisance biting was perceived. The study confirmed the feasibility of community-based LSM interventions and served as evidence for future scale-up of Bti application and adoption into Rwandan malaria vector control strategies.http://link.springer.com/article/10.1186/s12936-017-2046-yMalariaCommunity knowledgeAcceptanceParticipationLarval source managementBacillus thuringiensis israelensis
spellingShingle Chantal Marie Ingabire
Emmanuel Hakizimana
Alexis Rulisa
Fredrick Kateera
Bart Van Den Borne
Claude Mambo Muvunyi
Leon Mutesa
Michelle Van Vugt
Constantianus J. M. Koenraadt
Willem Takken
Jane Alaii
Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
Malaria Journal
Malaria
Community knowledge
Acceptance
Participation
Larval source management
Bacillus thuringiensis israelensis
title Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
title_full Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
title_fullStr Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
title_full_unstemmed Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
title_short Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
title_sort community based biological control of malaria mosquitoes using bacillus thuringiensis var israelensis bti in rwanda community awareness acceptance and participation
topic Malaria
Community knowledge
Acceptance
Participation
Larval source management
Bacillus thuringiensis israelensis
url http://link.springer.com/article/10.1186/s12936-017-2046-y
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